title: Recurrent episcleritis in relation to menstruation: a case report.
abstract: OBJECTIVE
  To describe a case of recurrent episcleritis associated with a patient's menstrual cycle.
  
  
  METHODS
  A retrospective case review of a 39-year-old woman who presented with a 12-year history of recurrent episcleritis in relation to her menstruation. She was seen during an acute attack and started on a reducing regime of topical steroids for 5 weeks. She was then advised to use it a week before and after menstruation.
  
  
  RESULTS
  Examination and investigations revealed episcleritis with a negative systems review. After starting the treatment, she was symptom free when reviewed at 4, 8, 14, and 33 weeks. Now, the patient uses topical steroids only 1 week before menstruation.
  
  
  CONCLUSIONS
  Literature review revealed no recent case reports and provided insufficient evidence to understand this relationship. We recommend increased awareness and reporting because there is a need for more studies to understand this relationship and to provide evidence for management.
authors.affiliation: Queens Hospital Burton, Burton On Trent, Staffordshire, UK.
authors.forename: Sangeetha Govinda
authors.initials: SG
authors.lastname: Rajoo
authors.forename: Jaishree
authors.initials: J
authors.lastname: Gandhewar
mesh_terms: D000328:Adult; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008598:Menstruation; D010298:Parity; D012008:Recurrence; D012189:Retrospective Studies; D015423:Scleritis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D005938:Glucocorticoids